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                                                            <w:t>上海交通大学医学院附属仁济医院</w:t>
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                                                            <w:t>临床研究项目研究人员专业</w:t>
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                            <w:t>C</w:t>
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                                        <w:t>一、个人信息</w:t>
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                                        <w:t>就职单位</w:t>
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                                        <w:t>性别</w:t>
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                                        <w:t>所在</w:t>
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                                        <w:t>科室</w:t>
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                                        <w:t>年龄</w:t>
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                                        <w:t>研究方向</w:t>
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                            <w:tc>
                                <w:tcPr>
                                    <w:tcW w:w="2608" w:type="dxa"/>
                                    <w:gridSpan w:val="2"/>
                                </w:tcPr>
                                <w:p w14:paraId="4EBF158D" w14:textId="77777777" w:rsidR="000D0524"
                                     w:rsidRDefault="000D0524"/>
                            </w:tc>
                        </w:tr>
                        <w:tr w:rsidR="000D0524" w14:paraId="3DCAFB49" w14:textId="77777777">
                            <w:tc>
                                <w:tcPr>
                                    <w:tcW w:w="2812" w:type="dxa"/>
                                    <w:gridSpan w:val="3"/>
                                </w:tcPr>
                                <w:p w14:paraId="135D018C" w14:textId="77777777" w:rsidR="000D0524"
                                     w:rsidRDefault="00715819">
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>学历</w:t>
                                    </w:r>
                                </w:p>
                            </w:tc>
                            <w:tc>
                                <w:tcPr>
                                    <w:tcW w:w="2592" w:type="dxa"/>
                                    <w:gridSpan w:val="3"/>
                                </w:tcPr>
                                <w:p w14:paraId="721119CB" w14:textId="77777777" w:rsidR="000D0524"
                                     w:rsidRDefault="000D0524"/>
                            </w:tc>
                            <w:tc>
                                <w:tcPr>
                                    <w:tcW w:w="2650" w:type="dxa"/>
                                </w:tcPr>
                                <w:p w14:paraId="15177AF5" w14:textId="77777777" w:rsidR="000D0524"
                                     w:rsidRDefault="00715819">
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>职称</w:t>
                                    </w:r>
                                </w:p>
                            </w:tc>
                            <w:tc>
                                <w:tcPr>
                                    <w:tcW w:w="2608" w:type="dxa"/>
                                    <w:gridSpan w:val="2"/>
                                </w:tcPr>
                                <w:p w14:paraId="40D4C65F" w14:textId="77777777" w:rsidR="000D0524"
                                     w:rsidRDefault="000D0524"/>
                            </w:tc>
                        </w:tr>
                        <w:tr w:rsidR="000D0524" w14:paraId="405774A5" w14:textId="77777777">
                            <w:tc>
                                <w:tcPr>
                                    <w:tcW w:w="2812" w:type="dxa"/>
                                    <w:gridSpan w:val="3"/>
                                </w:tcPr>
                                <w:p w14:paraId="2F16F204" w14:textId="77777777" w:rsidR="000D0524"
                                     w:rsidRDefault="00715819">
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>联系方式</w:t>
                                    </w:r>
                                </w:p>
                            </w:tc>
                            <w:tc>
                                <w:tcPr>
                                    <w:tcW w:w="2592" w:type="dxa"/>
                                    <w:gridSpan w:val="3"/>
                                </w:tcPr>
                                <w:p w14:paraId="1E4F5CC5" w14:textId="77777777" w:rsidR="000D0524"
                                     w:rsidRDefault="000D0524"/>
                            </w:tc>
                            <w:tc>
                                <w:tcPr>
                                    <w:tcW w:w="2650" w:type="dxa"/>
                                </w:tcPr>
                                <w:p w14:paraId="65A6B8D2" w14:textId="77777777" w:rsidR="000D0524"
                                     w:rsidRDefault="00715819">
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>职务</w:t>
                                    </w:r>
                                </w:p>
                            </w:tc>
                            <w:tc>
                                <w:tcPr>
                                    <w:tcW w:w="2608" w:type="dxa"/>
                                    <w:gridSpan w:val="2"/>
                                </w:tcPr>
                                <w:p w14:paraId="480D4687" w14:textId="77777777" w:rsidR="000D0524"
                                     w:rsidRDefault="000D0524"/>
                            </w:tc>
                        </w:tr>
                        <w:tr w:rsidR="000D0524" w14:paraId="3C7ADA0C" w14:textId="77777777">
                            <w:tc>
                                <w:tcPr>
                                    <w:tcW w:w="2812" w:type="dxa"/>
                                    <w:gridSpan w:val="3"/>
                                </w:tcPr>
                                <w:p w14:paraId="7622C258" w14:textId="77777777" w:rsidR="000D0524"
                                     w:rsidRDefault="000D0524"/>
                            </w:tc>
                            <w:tc>
                                <w:tcPr>
                                    <w:tcW w:w="2592" w:type="dxa"/>
                                    <w:gridSpan w:val="3"/>
                                </w:tcPr>
                                <w:p w14:paraId="2E869318" w14:textId="77777777" w:rsidR="000D0524"
                                     w:rsidRDefault="000D0524"/>
                            </w:tc>
                            <w:tc>
                                <w:tcPr>
                                    <w:tcW w:w="2650" w:type="dxa"/>
                                </w:tcPr>
                                <w:p w14:paraId="7BC5D38F" w14:textId="77777777" w:rsidR="000D0524"
                                     w:rsidRDefault="00715819">
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>电子邮箱</w:t>
                                    </w:r>
                                </w:p>
                            </w:tc>
                            <w:tc>
                                <w:tcPr>
                                    <w:tcW w:w="2608" w:type="dxa"/>
                                    <w:gridSpan w:val="2"/>
                                </w:tcPr>
                                <w:p w14:paraId="6F521EF7" w14:textId="77777777" w:rsidR="000D0524"
                                     w:rsidRDefault="000D0524"/>
                            </w:tc>
                        </w:tr>
                        <w:tr w:rsidR="000D0524" w14:paraId="730FDB93" w14:textId="77777777">
                            <w:tc>
                                <w:tcPr>
                                    <w:tcW w:w="10662" w:type="dxa"/>
                                    <w:gridSpan w:val="9"/>
                                    <w:shd w:val="clear" w:color="auto" w:fill="EDEDED" w:themeFill="accent3"
                                           w:themeFillTint="33"/>
                                </w:tcPr>
                                <w:p w14:paraId="500BE2FD" w14:textId="77777777" w:rsidR="000D0524"
                                     w:rsidRDefault="00715819">
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>二、教育经历</w:t>
                                    </w:r>
                                </w:p>
                            </w:tc>
                        </w:tr>
                        <w:tr w:rsidR="000D0524" w14:paraId="388E9CA3" w14:textId="77777777">
                            <w:tc>
                                <w:tcPr>
                                    <w:tcW w:w="2812" w:type="dxa"/>
                                    <w:gridSpan w:val="3"/>
                                </w:tcPr>
                                <w:p w14:paraId="4267842C" w14:textId="77777777" w:rsidR="000D0524"
                                     w:rsidRDefault="00715819">
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>时间起始</w:t>
                                    </w:r>
                                </w:p>
                            </w:tc>
                            <w:tc>
                                <w:tcPr>
                                    <w:tcW w:w="5242" w:type="dxa"/>
                                    <w:gridSpan w:val="4"/>
                                </w:tcPr>
                                <w:p w14:paraId="184669DF" w14:textId="77777777" w:rsidR="000D0524"
                                     w:rsidRDefault="00715819">
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>单位</w:t>
                                    </w:r>
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>/</w:t>
                                    </w:r>
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>机构</w:t>
                                    </w:r>
                                </w:p>
                            </w:tc>
                            <w:tc>
                                <w:tcPr>
                                    <w:tcW w:w="2608" w:type="dxa"/>
                                    <w:gridSpan w:val="2"/>
                                </w:tcPr>
                                <w:p w14:paraId="60585A57" w14:textId="77777777" w:rsidR="000D0524"
                                     w:rsidRDefault="00715819">
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>学位</w:t>
                                    </w:r>
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>/</w:t>
                                    </w:r>
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>资格</w:t>
                                    </w:r>
                                </w:p>
                            </w:tc>
                        </w:tr>
                        <w:tr w:rsidR="000D0524" w14:paraId="3E6DF231" w14:textId="77777777">
                            <w:tc>
                                <w:tcPr>
                                    <w:tcW w:w="2812" w:type="dxa"/>
                                    <w:gridSpan w:val="3"/>
                                </w:tcPr>
                                <w:p w14:paraId="521BFBAB" w14:textId="77777777" w:rsidR="000D0524"
                                     w:rsidRDefault="000D0524"/>
                            </w:tc>
                            <w:tc>
                                <w:tcPr>
                                    <w:tcW w:w="5242" w:type="dxa"/>
                                    <w:gridSpan w:val="4"/>
                                </w:tcPr>
                                <w:p w14:paraId="1692C2E3" w14:textId="77777777" w:rsidR="000D0524"
                                     w:rsidRDefault="000D0524"/>
                            </w:tc>
                            <w:tc>
                                <w:tcPr>
                                    <w:tcW w:w="2608" w:type="dxa"/>
                                    <w:gridSpan w:val="2"/>
                                </w:tcPr>
                                <w:p w14:paraId="174B4A4C" w14:textId="77777777" w:rsidR="000D0524"
                                     w:rsidRDefault="000D0524"/>
                            </w:tc>
                        </w:tr>
                        <w:tr w:rsidR="000D0524" w14:paraId="33471DB6" w14:textId="77777777">
                            <w:tc>
                                <w:tcPr>
                                    <w:tcW w:w="2812" w:type="dxa"/>
                                    <w:gridSpan w:val="3"/>
                                </w:tcPr>
                                <w:p w14:paraId="1AF11E91" w14:textId="77777777" w:rsidR="000D0524"
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                            </w:tc>
                            <w:tc>
                                <w:tcPr>
                                    <w:tcW w:w="5242" w:type="dxa"/>
                                    <w:gridSpan w:val="4"/>
                                </w:tcPr>
                                <w:p w14:paraId="2F2E4F35" w14:textId="77777777" w:rsidR="000D0524"
                                     w:rsidRDefault="000D0524"/>
                            </w:tc>
                            <w:tc>
                                <w:tcPr>
                                    <w:tcW w:w="2608" w:type="dxa"/>
                                    <w:gridSpan w:val="2"/>
                                </w:tcPr>
                                <w:p w14:paraId="1EA17661" w14:textId="77777777" w:rsidR="000D0524"
                                     w:rsidRDefault="000D0524"/>
                            </w:tc>
                        </w:tr>
                        <w:tr w:rsidR="000D0524" w14:paraId="7CA265DB" w14:textId="77777777">
                            <w:tc>
                                <w:tcPr>
                                    <w:tcW w:w="2812" w:type="dxa"/>
                                    <w:gridSpan w:val="3"/>
                                </w:tcPr>
                                <w:p w14:paraId="4A4BAAFB" w14:textId="77777777" w:rsidR="000D0524"
                                     w:rsidRDefault="000D0524"/>
                            </w:tc>
                            <w:tc>
                                <w:tcPr>
                                    <w:tcW w:w="5242" w:type="dxa"/>
                                    <w:gridSpan w:val="4"/>
                                </w:tcPr>
                                <w:p w14:paraId="53EB2D2F" w14:textId="77777777" w:rsidR="000D0524"
                                     w:rsidRDefault="000D0524"/>
                            </w:tc>
                            <w:tc>
                                <w:tcPr>
                                    <w:tcW w:w="2608" w:type="dxa"/>
                                    <w:gridSpan w:val="2"/>
                                </w:tcPr>
                                <w:p w14:paraId="0031414A" w14:textId="77777777" w:rsidR="000D0524"
                                     w:rsidRDefault="000D0524"/>
                            </w:tc>
                        </w:tr>
                        <w:tr w:rsidR="000D0524" w14:paraId="63CA68AE" w14:textId="77777777">
                            <w:tc>
                                <w:tcPr>
                                    <w:tcW w:w="10662" w:type="dxa"/>
                                    <w:gridSpan w:val="9"/>
                                    <w:shd w:val="clear" w:color="auto" w:fill="EDEDED" w:themeFill="accent3"
                                           w:themeFillTint="33"/>
                                </w:tcPr>
                                <w:p w14:paraId="7D2A88AE" w14:textId="77777777" w:rsidR="000D0524"
                                     w:rsidRDefault="00715819">
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>三、与研究相关专业培训经历（近</w:t>
                                    </w:r>
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>5</w:t>
                                    </w:r>
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>年）</w:t>
                                    </w:r>
                                </w:p>
                            </w:tc>
                        </w:tr>
                        <w:tr w:rsidR="000D0524" w14:paraId="2CC4B431" w14:textId="77777777">
                            <w:tc>
                                <w:tcPr>
                                    <w:tcW w:w="2812" w:type="dxa"/>
                                    <w:gridSpan w:val="3"/>
                                </w:tcPr>
                                <w:p w14:paraId="671EC396" w14:textId="77777777" w:rsidR="000D0524"
                                     w:rsidRDefault="00715819">
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>时间起始</w:t>
                                    </w:r>
                                </w:p>
                            </w:tc>
                            <w:tc>
                                <w:tcPr>
                                    <w:tcW w:w="5242" w:type="dxa"/>
                                    <w:gridSpan w:val="4"/>
                                </w:tcPr>
                                <w:p w14:paraId="22422C4F" w14:textId="77777777" w:rsidR="000D0524"
                                     w:rsidRDefault="00715819">
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>单位</w:t>
                                    </w:r>
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>/</w:t>
                                    </w:r>
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>机构</w:t>
                                    </w:r>
                                </w:p>
                            </w:tc>
                            <w:tc>
                                <w:tcPr>
                                    <w:tcW w:w="2608" w:type="dxa"/>
                                    <w:gridSpan w:val="2"/>
                                </w:tcPr>
                                <w:p w14:paraId="5FAA8BDE" w14:textId="77777777" w:rsidR="000D0524"
                                     w:rsidRDefault="00715819">
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>培训</w:t>
                                    </w:r>
                                    <w:r>
                                        <w:t>证书</w:t>
                                    </w:r>
                                </w:p>
                            </w:tc>
                        </w:tr>
                        <w:tr w:rsidR="000D0524" w14:paraId="46B5158E" w14:textId="77777777">
                            <w:tc>
                                <w:tcPr>
                                    <w:tcW w:w="2812" w:type="dxa"/>
                                    <w:gridSpan w:val="3"/>
                                </w:tcPr>
                                <w:p w14:paraId="11418EE6" w14:textId="77777777" w:rsidR="000D0524"
                                     w:rsidRDefault="000D0524"/>
                            </w:tc>
                            <w:tc>
                                <w:tcPr>
                                    <w:tcW w:w="5242" w:type="dxa"/>
                                    <w:gridSpan w:val="4"/>
                                </w:tcPr>
                                <w:p w14:paraId="1B13D1E4" w14:textId="77777777" w:rsidR="000D0524"
                                     w:rsidRDefault="000D0524"/>
                            </w:tc>
                            <w:tc>
                                <w:tcPr>
                                    <w:tcW w:w="2608" w:type="dxa"/>
                                    <w:gridSpan w:val="2"/>
                                </w:tcPr>
                                <w:p w14:paraId="6267E47A" w14:textId="77777777" w:rsidR="000D0524"
                                     w:rsidRDefault="000D0524"/>
                            </w:tc>
                        </w:tr>
                        <w:tr w:rsidR="000D0524" w14:paraId="33FC44C8" w14:textId="77777777">
                            <w:tc>
                                <w:tcPr>
                                    <w:tcW w:w="2812" w:type="dxa"/>
                                    <w:gridSpan w:val="3"/>
                                </w:tcPr>
                                <w:p w14:paraId="2C08BE61" w14:textId="77777777" w:rsidR="000D0524"
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                            <w:tc>
                                <w:tcPr>
                                    <w:tcW w:w="5242" w:type="dxa"/>
                                    <w:gridSpan w:val="4"/>
                                </w:tcPr>
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                            <w:tc>
                                <w:tcPr>
                                    <w:tcW w:w="2608" w:type="dxa"/>
                                    <w:gridSpan w:val="2"/>
                                </w:tcPr>
                                <w:p w14:paraId="4DB8575C" w14:textId="77777777" w:rsidR="000D0524"
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                        </w:tr>
                        <w:tr w:rsidR="000D0524" w14:paraId="00D94981" w14:textId="77777777">
                            <w:tc>
                                <w:tcPr>
                                    <w:tcW w:w="2812" w:type="dxa"/>
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                                </w:tcPr>
                                <w:p w14:paraId="6FE776C2" w14:textId="77777777" w:rsidR="000D0524"
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                            <w:tc>
                                <w:tcPr>
                                    <w:tcW w:w="5242" w:type="dxa"/>
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                                <w:p w14:paraId="1DC3E2F8" w14:textId="77777777" w:rsidR="000D0524"
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                            <w:tc>
                                <w:tcPr>
                                    <w:tcW w:w="2608" w:type="dxa"/>
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                                <w:p w14:paraId="7EE70C8C" w14:textId="77777777" w:rsidR="000D0524"
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                        </w:tr>
                        <w:tr w:rsidR="000D0524" w14:paraId="06656991" w14:textId="77777777">
                            <w:tc>
                                <w:tcPr>
                                    <w:tcW w:w="2812" w:type="dxa"/>
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                                <w:p w14:paraId="2AE58A0B" w14:textId="77777777" w:rsidR="000D0524"
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                            <w:tc>
                                <w:tcPr>
                                    <w:tcW w:w="5242" w:type="dxa"/>
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                                </w:tcPr>
                                <w:p w14:paraId="42ED99F8" w14:textId="77777777" w:rsidR="000D0524"
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                            </w:tc>
                            <w:tc>
                                <w:tcPr>
                                    <w:tcW w:w="2608" w:type="dxa"/>
                                    <w:gridSpan w:val="2"/>
                                </w:tcPr>
                                <w:p w14:paraId="3038997F" w14:textId="77777777" w:rsidR="000D0524"
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                        <w:tr w:rsidR="000D0524" w14:paraId="4F9F7EBC" w14:textId="77777777">
                            <w:tc>
                                <w:tcPr>
                                    <w:tcW w:w="10662" w:type="dxa"/>
                                    <w:gridSpan w:val="9"/>
                                    <w:shd w:val="clear" w:color="auto" w:fill="EDEDED" w:themeFill="accent3"
                                           w:themeFillTint="33"/>
                                </w:tcPr>
                                <w:p w14:paraId="7B8F9DA3" w14:textId="77777777" w:rsidR="000D0524"
                                     w:rsidRDefault="00715819">
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>四、</w:t>
                                    </w:r>
                                    <w:r>
                                        <w:t>工作经历</w:t>
                                    </w:r>
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>（近</w:t>
                                    </w:r>
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>5</w:t>
                                    </w:r>
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>年）</w:t>
                                    </w:r>
                                </w:p>
                            </w:tc>
                        </w:tr>
                        <w:tr w:rsidR="000D0524" w14:paraId="3B5F0B6B" w14:textId="77777777">
                            <w:tc>
                                <w:tcPr>
                                    <w:tcW w:w="2812" w:type="dxa"/>
                                    <w:gridSpan w:val="3"/>
                                </w:tcPr>
                                <w:p w14:paraId="34CDCA57" w14:textId="77777777" w:rsidR="000D0524"
                                     w:rsidRDefault="00715819">
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>时间起始</w:t>
                                    </w:r>
                                </w:p>
                            </w:tc>
                            <w:tc>
                                <w:tcPr>
                                    <w:tcW w:w="5242" w:type="dxa"/>
                                    <w:gridSpan w:val="4"/>
                                </w:tcPr>
                                <w:p w14:paraId="55D82F7D" w14:textId="77777777" w:rsidR="000D0524"
                                     w:rsidRDefault="00715819">
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>单位</w:t>
                                    </w:r>
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>/</w:t>
                                    </w:r>
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>机构</w:t>
                                    </w:r>
                                </w:p>
                            </w:tc>
                            <w:tc>
                                <w:tcPr>
                                    <w:tcW w:w="2608" w:type="dxa"/>
                                    <w:gridSpan w:val="2"/>
                                </w:tcPr>
                                <w:p w14:paraId="61A2BDFA" w14:textId="77777777" w:rsidR="000D0524"
                                     w:rsidRDefault="00715819">
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>职务</w:t>
                                    </w:r>
                                </w:p>
                            </w:tc>
                        </w:tr>
                        <w:tr w:rsidR="000D0524" w14:paraId="53D8831F" w14:textId="77777777">
                            <w:tc>
                                <w:tcPr>
                                    <w:tcW w:w="2812" w:type="dxa"/>
                                    <w:gridSpan w:val="3"/>
                                </w:tcPr>
                                <w:p w14:paraId="4845DB6A" w14:textId="77777777" w:rsidR="000D0524"
                                     w:rsidRDefault="000D0524"/>
                            </w:tc>
                            <w:tc>
                                <w:tcPr>
                                    <w:tcW w:w="5242" w:type="dxa"/>
                                    <w:gridSpan w:val="4"/>
                                </w:tcPr>
                                <w:p w14:paraId="3AFF5FA7" w14:textId="77777777" w:rsidR="000D0524"
                                     w:rsidRDefault="000D0524"/>
                            </w:tc>
                            <w:tc>
                                <w:tcPr>
                                    <w:tcW w:w="2608" w:type="dxa"/>
                                    <w:gridSpan w:val="2"/>
                                </w:tcPr>
                                <w:p w14:paraId="720563F4" w14:textId="77777777" w:rsidR="000D0524"
                                     w:rsidRDefault="000D0524"/>
                            </w:tc>
                        </w:tr>
                        <w:tr w:rsidR="000D0524" w14:paraId="382E1DDF" w14:textId="77777777">
                            <w:tc>
                                <w:tcPr>
                                    <w:tcW w:w="2812" w:type="dxa"/>
                                    <w:gridSpan w:val="3"/>
                                </w:tcPr>
                                <w:p w14:paraId="342B234A" w14:textId="77777777" w:rsidR="000D0524"
                                     w:rsidRDefault="000D0524"/>
                            </w:tc>
                            <w:tc>
                                <w:tcPr>
                                    <w:tcW w:w="5242" w:type="dxa"/>
                                    <w:gridSpan w:val="4"/>
                                </w:tcPr>
                                <w:p w14:paraId="75F59E5A" w14:textId="77777777" w:rsidR="000D0524"
                                     w:rsidRDefault="000D0524"/>
                            </w:tc>
                            <w:tc>
                                <w:tcPr>
                                    <w:tcW w:w="2608" w:type="dxa"/>
                                    <w:gridSpan w:val="2"/>
                                </w:tcPr>
                                <w:p w14:paraId="6AC8E60B" w14:textId="77777777" w:rsidR="000D0524"
                                     w:rsidRDefault="000D0524"/>
                            </w:tc>
                        </w:tr>
                        <w:tr w:rsidR="000D0524" w14:paraId="48FF0D94" w14:textId="77777777">
                            <w:tc>
                                <w:tcPr>
                                    <w:tcW w:w="2812" w:type="dxa"/>
                                    <w:gridSpan w:val="3"/>
                                </w:tcPr>
                                <w:p w14:paraId="5C3CC0D0" w14:textId="77777777" w:rsidR="000D0524"
                                     w:rsidRDefault="000D0524"/>
                            </w:tc>
                            <w:tc>
                                <w:tcPr>
                                    <w:tcW w:w="5242" w:type="dxa"/>
                                    <w:gridSpan w:val="4"/>
                                </w:tcPr>
                                <w:p w14:paraId="21BDCC5F" w14:textId="77777777" w:rsidR="000D0524"
                                     w:rsidRDefault="000D0524"/>
                            </w:tc>
                            <w:tc>
                                <w:tcPr>
                                    <w:tcW w:w="2608" w:type="dxa"/>
                                    <w:gridSpan w:val="2"/>
                                </w:tcPr>
                                <w:p w14:paraId="09562611" w14:textId="77777777" w:rsidR="000D0524"
                                     w:rsidRDefault="000D0524"/>
                            </w:tc>
                        </w:tr>
                        <w:tr w:rsidR="000D0524" w14:paraId="00CBCDBF" w14:textId="77777777">
                            <w:tc>
                                <w:tcPr>
                                    <w:tcW w:w="2812" w:type="dxa"/>
                                    <w:gridSpan w:val="3"/>
                                </w:tcPr>
                                <w:p w14:paraId="7BB8B177" w14:textId="77777777" w:rsidR="000D0524"
                                     w:rsidRDefault="000D0524"/>
                            </w:tc>
                            <w:tc>
                                <w:tcPr>
                                    <w:tcW w:w="5242" w:type="dxa"/>
                                    <w:gridSpan w:val="4"/>
                                </w:tcPr>
                                <w:p w14:paraId="777D261A" w14:textId="77777777" w:rsidR="000D0524"
                                     w:rsidRDefault="000D0524"/>
                            </w:tc>
                            <w:tc>
                                <w:tcPr>
                                    <w:tcW w:w="2608" w:type="dxa"/>
                                    <w:gridSpan w:val="2"/>
                                </w:tcPr>
                                <w:p w14:paraId="172BA7A9" w14:textId="77777777" w:rsidR="000D0524"
                                     w:rsidRDefault="000D0524"/>
                            </w:tc>
                        </w:tr>
                        <w:tr w:rsidR="000D0524" w14:paraId="7203702B" w14:textId="77777777">
                            <w:tc>
                                <w:tcPr>
                                    <w:tcW w:w="2812" w:type="dxa"/>
                                    <w:gridSpan w:val="3"/>
                                </w:tcPr>
                                <w:p w14:paraId="25A0D994" w14:textId="77777777" w:rsidR="000D0524"
                                     w:rsidRDefault="000D0524"/>
                            </w:tc>
                            <w:tc>
                                <w:tcPr>
                                    <w:tcW w:w="5242" w:type="dxa"/>
                                    <w:gridSpan w:val="4"/>
                                </w:tcPr>
                                <w:p w14:paraId="26C7B74B" w14:textId="77777777" w:rsidR="000D0524"
                                     w:rsidRDefault="000D0524"/>
                            </w:tc>
                            <w:tc>
                                <w:tcPr>
                                    <w:tcW w:w="2608" w:type="dxa"/>
                                    <w:gridSpan w:val="2"/>
                                </w:tcPr>
                                <w:p w14:paraId="56CF83E3" w14:textId="77777777" w:rsidR="000D0524"
                                     w:rsidRDefault="000D0524"/>
                            </w:tc>
                        </w:tr>
                        <w:tr w:rsidR="000D0524" w14:paraId="7182578A" w14:textId="77777777">
                            <w:tc>
                                <w:tcPr>
                                    <w:tcW w:w="10662" w:type="dxa"/>
                                    <w:gridSpan w:val="9"/>
                                    <w:shd w:val="clear" w:color="auto" w:fill="EDEDED" w:themeFill="accent3"
                                           w:themeFillTint="33"/>
                                </w:tcPr>
                                <w:p w14:paraId="08F31BE8" w14:textId="77777777" w:rsidR="000D0524"
                                     w:rsidRDefault="00715819">
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>五</w:t>
                                    </w:r>
                                    <w:r>
                                        <w:t>、</w:t>
                                    </w:r>
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>临床研究资格及经历</w:t>
                                    </w:r>
                                </w:p>
                            </w:tc>
                        </w:tr>
                        <w:tr w:rsidR="000D0524" w14:paraId="21B21A8D" w14:textId="77777777">
                            <w:tc>
                                <w:tcPr>
                                    <w:tcW w:w="8085" w:type="dxa"/>
                                    <w:gridSpan w:val="8"/>
                                </w:tcPr>
                                <w:p w14:paraId="3065352E" w14:textId="77777777" w:rsidR="000D0524"
                                     w:rsidRDefault="00715819">
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>是否</w:t>
                                    </w:r>
                                    <w:r>
                                        <w:t>已获得</w:t>
                                    </w:r>
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>GCP</w:t>
                                    </w:r>
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>证书（需上传扫描件</w:t>
                                    </w:r>
                                    <w:r>
                                        <w:t>附件</w:t>
                                    </w:r>
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>）</w:t>
                                    </w:r>
                                </w:p>
                            </w:tc>
                            <w:tc>
                                <w:tcPr>
                                    <w:tcW w:w="2577" w:type="dxa"/>
                                </w:tcPr>
                                <w:p w14:paraId="35B5FCDA" w14:textId="77777777" w:rsidR="000D0524"
                                     w:rsidRDefault="00715819">
                                    <w:pPr>
                                        <w:jc w:val="center"/>
                                    </w:pPr>
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:ascii="宋体" w:hAnsi="宋体" w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>□</w:t>
                                    </w:r>
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>是</w:t>
                                    </w:r>
                                    <w:r>
                                        <w:t xml:space="preserve">       </w:t>
                                    </w:r>
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t xml:space="preserve"> </w:t>
                                    </w:r>
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:ascii="宋体" w:hAnsi="宋体" w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>□</w:t>
                                    </w:r>
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>否</w:t>
                                    </w:r>
                                </w:p>
                            </w:tc>
                        </w:tr>
                        <w:tr w:rsidR="000D0524" w14:paraId="58DD1A0E" w14:textId="77777777">
                            <w:trPr>
                                <w:trHeight w:val="3987"/>
                            </w:trPr>
                            <w:tc>
                                <w:tcPr>
                                    <w:tcW w:w="10662" w:type="dxa"/>
                                    <w:gridSpan w:val="9"/>
                                </w:tcPr>
                                <w:p w14:paraId="48B16784" w14:textId="77777777" w:rsidR="000D0524"
                                     w:rsidRDefault="00715819">
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                            <w:color w:val="FF0000"/>
                                        </w:rPr>
                                        <w:t>（如果有证书，在这个位置插入）</w:t>
                                    </w:r>
                                </w:p>
                            </w:tc>
                        </w:tr>
                        <w:tr w:rsidR="000D0524" w14:paraId="1B918775" w14:textId="77777777">
                            <w:tc>
                                <w:tcPr>
                                    <w:tcW w:w="8085" w:type="dxa"/>
                                    <w:gridSpan w:val="8"/>
                                </w:tcPr>
                                <w:p w14:paraId="353D6287" w14:textId="77777777" w:rsidR="000D0524"
                                     w:rsidRDefault="00715819">
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                            <w:color w:val="FF0000"/>
                                        </w:rPr>
                                        <w:lastRenderedPageBreak/>
                                        <w:t>（如果有证书，在这个位置显示时间）</w:t>
                                    </w:r>
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>获得</w:t>
                                    </w:r>
                                    <w:r>
                                        <w:t>证书的</w:t>
                                    </w:r>
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>时间</w:t>
                                    </w:r>
                                </w:p>
                            </w:tc>
                            <w:tc>
                                <w:tcPr>
                                    <w:tcW w:w="2577" w:type="dxa"/>
                                </w:tcPr>
                                <w:p w14:paraId="0EF9ADE9" w14:textId="77777777" w:rsidR="000D0524"
                                     w:rsidRDefault="000D0524"/>
                            </w:tc>
                        </w:tr>
                        <w:tr w:rsidR="000D0524" w14:paraId="769E1368" w14:textId="77777777">
                            <w:tc>
                                <w:tcPr>
                                    <w:tcW w:w="8085" w:type="dxa"/>
                                    <w:gridSpan w:val="8"/>
                                </w:tcPr>
                                <w:p w14:paraId="390655BE" w14:textId="77777777" w:rsidR="000D0524"
                                     w:rsidRDefault="00715819">
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>是否</w:t>
                                    </w:r>
                                    <w:r>
                                        <w:t>已获得</w:t>
                                    </w:r>
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>执业</w:t>
                                    </w:r>
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>证书（需上传扫描件</w:t>
                                    </w:r>
                                    <w:r>
                                        <w:t>附件</w:t>
                                    </w:r>
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>）</w:t>
                                    </w:r>
                                </w:p>
                            </w:tc>
                            <w:tc>
                                <w:tcPr>
                                    <w:tcW w:w="2577" w:type="dxa"/>
                                </w:tcPr>
                                <w:p w14:paraId="43142361" w14:textId="77777777" w:rsidR="000D0524"
                                     w:rsidRDefault="00715819">
                                    <w:pPr>
                                        <w:jc w:val="center"/>
                                    </w:pPr>
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:ascii="宋体" w:hAnsi="宋体" w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>□</w:t>
                                    </w:r>
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>是</w:t>
                                    </w:r>
                                    <w:r>
                                        <w:t xml:space="preserve">       </w:t>
                                    </w:r>
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t xml:space="preserve"> </w:t>
                                    </w:r>
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:ascii="宋体" w:hAnsi="宋体" w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>□</w:t>
                                    </w:r>
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>否</w:t>
                                    </w:r>
                                </w:p>
                            </w:tc>
                        </w:tr>
                        <w:tr w:rsidR="000D0524" w14:paraId="33A8FA62" w14:textId="77777777">
                            <w:trPr>
                                <w:trHeight w:val="1856"/>
                            </w:trPr>
                            <w:tc>
                                <w:tcPr>
                                    <w:tcW w:w="10662" w:type="dxa"/>
                                    <w:gridSpan w:val="9"/>
                                </w:tcPr>
                                <w:p w14:paraId="295B6E73" w14:textId="77777777" w:rsidR="000D0524"
                                     w:rsidRDefault="00715819">
                                    <w:pPr>
                                        <w:ind w:firstLineChars="150" w:firstLine="315"/>
                                        <w:rPr>
                                            <w:rFonts w:ascii="宋体" w:hAnsi="宋体"/>
                                        </w:rPr>
                                    </w:pPr>
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                            <w:color w:val="FF0000"/>
                                        </w:rPr>
                                        <w:t>（如果有证书，在这个位置插入）</w:t>
                                    </w:r>
                                </w:p>
                            </w:tc>
                        </w:tr>
                        <w:tr w:rsidR="000D0524" w14:paraId="6E37D71F" w14:textId="77777777">
                            <w:tc>
                                <w:tcPr>
                                    <w:tcW w:w="8085" w:type="dxa"/>
                                    <w:gridSpan w:val="8"/>
                                </w:tcPr>
                                <w:p w14:paraId="749A5BD0" w14:textId="77777777" w:rsidR="000D0524"
                                     w:rsidRDefault="00715819">
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                            <w:color w:val="FF0000"/>
                                        </w:rPr>
                                        <w:t>（如果有证书，在这个位置显示时间）</w:t>
                                    </w:r>
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>获得</w:t>
                                    </w:r>
                                    <w:r>
                                        <w:t>证书的</w:t>
                                    </w:r>
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>时间</w:t>
                                    </w:r>
                                </w:p>
                            </w:tc>
                            <w:tc>
                                <w:tcPr>
                                    <w:tcW w:w="2577" w:type="dxa"/>
                                </w:tcPr>
                                <w:p w14:paraId="60C12F13" w14:textId="77777777" w:rsidR="000D0524"
                                     w:rsidRDefault="000D0524"/>
                            </w:tc>
                        </w:tr>
                        <w:tr w:rsidR="000D0524" w14:paraId="7088F72B" w14:textId="77777777">
                            <w:tc>
                                <w:tcPr>
                                    <w:tcW w:w="8085" w:type="dxa"/>
                                    <w:gridSpan w:val="8"/>
                                </w:tcPr>
                                <w:p w14:paraId="6F44BDB0" w14:textId="77777777" w:rsidR="000D0524"
                                     w:rsidRDefault="00715819">
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>是否具有涉及人</w:t>
                                    </w:r>
                                    <w:r>
                                        <w:t>的</w:t>
                                    </w:r>
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>药物</w:t>
                                    </w:r>
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>/</w:t>
                                    </w:r>
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>器械</w:t>
                                    </w:r>
                                    <w:r>
                                        <w:t>临床</w:t>
                                    </w:r>
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>研究经历</w:t>
                                    </w:r>
                                </w:p>
                            </w:tc>
                            <w:tc>
                                <w:tcPr>
                                    <w:tcW w:w="2577" w:type="dxa"/>
                                </w:tcPr>
                                <w:p w14:paraId="3B2E0BD6" w14:textId="77777777" w:rsidR="000D0524"
                                     w:rsidRDefault="00715819">
                                    <w:pPr>
                                        <w:ind w:firstLineChars="150" w:firstLine="315"/>
                                    </w:pPr>
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:ascii="宋体" w:hAnsi="宋体" w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>□</w:t>
                                    </w:r>
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>是</w:t>
                                    </w:r>
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t xml:space="preserve">  </w:t>
                                    </w:r>
                                    <w:r>
                                        <w:t xml:space="preserve">     </w:t>
                                    </w:r>
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t xml:space="preserve"> </w:t>
                                    </w:r>
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:ascii="宋体" w:hAnsi="宋体" w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>□</w:t>
                                    </w:r>
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>否</w:t>
                                    </w:r>
                                </w:p>
                            </w:tc>
                        </w:tr>
                        <w:tr w:rsidR="000D0524" w14:paraId="7F079A50" w14:textId="77777777">
                            <w:tc>
                                <w:tcPr>
                                    <w:tcW w:w="8085" w:type="dxa"/>
                                    <w:gridSpan w:val="8"/>
                                </w:tcPr>
                                <w:p w14:paraId="517F1213" w14:textId="77777777" w:rsidR="000D0524"
                                     w:rsidRDefault="00715819">
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>是否担任</w:t>
                                    </w:r>
                                    <w:r>
                                        <w:t>过</w:t>
                                    </w:r>
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>主要研究者</w:t>
                                    </w:r>
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>/</w:t>
                                    </w:r>
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>项目负责人</w:t>
                                    </w:r>
                                </w:p>
                            </w:tc>
                            <w:tc>
                                <w:tcPr>
                                    <w:tcW w:w="2577" w:type="dxa"/>
                                </w:tcPr>
                                <w:p w14:paraId="12E53AA5" w14:textId="77777777" w:rsidR="000D0524"
                                     w:rsidRDefault="00715819">
                                    <w:pPr>
                                        <w:ind w:firstLineChars="150" w:firstLine="315"/>
                                        <w:rPr>
                                            <w:rFonts w:ascii="宋体" w:hAnsi="宋体"/>
                                        </w:rPr>
                                    </w:pPr>
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:ascii="宋体" w:hAnsi="宋体" w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>□</w:t>
                                    </w:r>
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>是</w:t>
                                    </w:r>
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t xml:space="preserve">  </w:t>
                                    </w:r>
                                    <w:r>
                                        <w:t xml:space="preserve">     </w:t>
                                    </w:r>
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t xml:space="preserve"> </w:t>
                                    </w:r>
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:ascii="宋体" w:hAnsi="宋体" w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>□</w:t>
                                    </w:r>
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>否</w:t>
                                    </w:r>
                                </w:p>
                            </w:tc>
                        </w:tr>
                        <w:tr w:rsidR="000D0524" w14:paraId="5616A95A" w14:textId="77777777">
                            <w:tc>
                                <w:tcPr>
                                    <w:tcW w:w="8085" w:type="dxa"/>
                                    <w:gridSpan w:val="8"/>
                                </w:tcPr>
                                <w:p w14:paraId="61B7EF1D" w14:textId="77777777" w:rsidR="000D0524"
                                     w:rsidRDefault="00715819">
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>是否</w:t>
                                    </w:r>
                                    <w:r>
                                        <w:t>具有国际多中心</w:t>
                                    </w:r>
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>临床研究经历</w:t>
                                    </w:r>
                                </w:p>
                            </w:tc>
                            <w:tc>
                                <w:tcPr>
                                    <w:tcW w:w="2577" w:type="dxa"/>
                                </w:tcPr>
                                <w:p w14:paraId="685D15B5" w14:textId="77777777" w:rsidR="000D0524"
                                     w:rsidRDefault="00715819">
                                    <w:pPr>
                                        <w:ind w:firstLineChars="150" w:firstLine="315"/>
                                        <w:rPr>
                                            <w:rFonts w:ascii="宋体" w:hAnsi="宋体"/>
                                        </w:rPr>
                                    </w:pPr>
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:ascii="宋体" w:hAnsi="宋体" w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>□</w:t>
                                    </w:r>
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>是</w:t>
                                    </w:r>
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t xml:space="preserve">  </w:t>
                                    </w:r>
                                    <w:r>
                                        <w:t xml:space="preserve">     </w:t>
                                    </w:r>
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t xml:space="preserve"> </w:t>
                                    </w:r>
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:ascii="宋体" w:hAnsi="宋体" w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>□</w:t>
                                    </w:r>
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>否</w:t>
                                    </w:r>
                                </w:p>
                            </w:tc>
                        </w:tr>
                        <w:tr w:rsidR="000D0524" w14:paraId="4266B884" w14:textId="77777777">
                            <w:tc>
                                <w:tcPr>
                                    <w:tcW w:w="8085" w:type="dxa"/>
                                    <w:gridSpan w:val="8"/>
                                </w:tcPr>
                                <w:p w14:paraId="3E6BD16A" w14:textId="77777777" w:rsidR="000D0524"
                                     w:rsidRDefault="00715819">
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>是否具有</w:t>
                                    </w:r>
                                    <w:r>
                                        <w:t>国内多中心临床</w:t>
                                    </w:r>
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>研究经历</w:t>
                                    </w:r>
                                </w:p>
                            </w:tc>
                            <w:tc>
                                <w:tcPr>
                                    <w:tcW w:w="2577" w:type="dxa"/>
                                </w:tcPr>
                                <w:p w14:paraId="494DA2AE" w14:textId="77777777" w:rsidR="000D0524"
                                     w:rsidRDefault="00715819">
                                    <w:pPr>
                                        <w:ind w:firstLineChars="150" w:firstLine="315"/>
                                        <w:rPr>
                                            <w:rFonts w:ascii="宋体" w:hAnsi="宋体"/>
                                        </w:rPr>
                                    </w:pPr>
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:ascii="宋体" w:hAnsi="宋体" w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>□</w:t>
                                    </w:r>
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>是</w:t>
                                    </w:r>
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t xml:space="preserve">  </w:t>
                                    </w:r>
                                    <w:r>
                                        <w:t xml:space="preserve">     </w:t>
                                    </w:r>
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t xml:space="preserve"> </w:t>
                                    </w:r>
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:ascii="宋体" w:hAnsi="宋体" w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>□</w:t>
                                    </w:r>
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>否</w:t>
                                    </w:r>
                                </w:p>
                            </w:tc>
                        </w:tr>
                        <w:tr w:rsidR="000D0524" w14:paraId="19937F98" w14:textId="77777777">
                            <w:tc>
                                <w:tcPr>
                                    <w:tcW w:w="8085" w:type="dxa"/>
                                    <w:gridSpan w:val="8"/>
                                </w:tcPr>
                                <w:p w14:paraId="79C1687B" w14:textId="77777777" w:rsidR="000D0524"
                                     w:rsidRDefault="00715819">
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>是否担任过</w:t>
                                    </w:r>
                                    <w:r>
                                        <w:t>组长单位</w:t>
                                    </w:r>
                                </w:p>
                            </w:tc>
                            <w:tc>
                                <w:tcPr>
                                    <w:tcW w:w="2577" w:type="dxa"/>
                                </w:tcPr>
                                <w:p w14:paraId="0BD2304C" w14:textId="77777777" w:rsidR="000D0524"
                                     w:rsidRDefault="00715819">
                                    <w:pPr>
                                        <w:ind w:firstLineChars="150" w:firstLine="315"/>
                                        <w:rPr>
                                            <w:rFonts w:ascii="宋体" w:hAnsi="宋体"/>
                                        </w:rPr>
                                    </w:pPr>
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:ascii="宋体" w:hAnsi="宋体" w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>□</w:t>
                                    </w:r>
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>是</w:t>
                                    </w:r>
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t xml:space="preserve">  </w:t>
                                    </w:r>
                                    <w:r>
                                        <w:t xml:space="preserve">     </w:t>
                                    </w:r>
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t xml:space="preserve"> </w:t>
                                    </w:r>
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:ascii="宋体" w:hAnsi="宋体" w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>□</w:t>
                                    </w:r>
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>否</w:t>
                                    </w:r>
                                </w:p>
                            </w:tc>
                        </w:tr>
                        <w:tr w:rsidR="000D0524" w14:paraId="2CEABAC1" w14:textId="77777777">
                            <w:tc>
                                <w:tcPr>
                                    <w:tcW w:w="8085" w:type="dxa"/>
                                    <w:gridSpan w:val="8"/>
                                </w:tcPr>
                                <w:p w14:paraId="4A92B599" w14:textId="77777777" w:rsidR="000D0524"
                                     w:rsidRDefault="00715819">
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>以</w:t>
                                    </w:r>
                                    <w:r>
                                        <w:t>主要研究者身份</w:t>
                                    </w:r>
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>承担</w:t>
                                    </w:r>
                                    <w:r>
                                        <w:t>的临床</w:t>
                                    </w:r>
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>研究</w:t>
                                    </w:r>
                                    <w:r>
                                        <w:t>共计几项</w:t>
                                    </w:r>
                                </w:p>
                            </w:tc>
                            <w:tc>
                                <w:tcPr>
                                    <w:tcW w:w="2577" w:type="dxa"/>
                                </w:tcPr>
                                <w:p w14:paraId="794D7E14" w14:textId="77777777" w:rsidR="000D0524"
                                     w:rsidRDefault="000D0524">
                                    <w:pPr>
                                        <w:ind w:firstLineChars="150" w:firstLine="315"/>
                                        <w:rPr>
                                            <w:rFonts w:ascii="宋体" w:hAnsi="宋体"/>
                                        </w:rPr>
                                    </w:pPr>
                                </w:p>
                            </w:tc>
                        </w:tr>
                        <w:tr w:rsidR="000D0524" w14:paraId="2B5009F3" w14:textId="77777777">
                            <w:tc>
                                <w:tcPr>
                                    <w:tcW w:w="8085" w:type="dxa"/>
                                    <w:gridSpan w:val="8"/>
                                </w:tcPr>
                                <w:p w14:paraId="440B50C2" w14:textId="77777777" w:rsidR="000D0524"
                                     w:rsidRDefault="00715819">
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>目前</w:t>
                                    </w:r>
                                    <w:r>
                                        <w:t>在</w:t>
                                    </w:r>
                                    <w:proofErr w:type="gramStart"/>
                                    <w:r>
                                        <w:t>研</w:t>
                                    </w:r>
                                    <w:proofErr w:type="gramEnd"/>
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>（仍</w:t>
                                    </w:r>
                                    <w:r>
                                        <w:t>未结题</w:t>
                                    </w:r>
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>）</w:t>
                                    </w:r>
                                    <w:r>
                                        <w:t>的</w:t>
                                    </w:r>
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>临床研究</w:t>
                                    </w:r>
                                    <w:r>
                                        <w:t>项目共计</w:t>
                                    </w:r>
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>几项</w:t>
                                    </w:r>
                                </w:p>
                            </w:tc>
                            <w:tc>
                                <w:tcPr>
                                    <w:tcW w:w="2577" w:type="dxa"/>
                                </w:tcPr>
                                <w:p w14:paraId="012609BB" w14:textId="77777777" w:rsidR="000D0524"
                                     w:rsidRDefault="000D0524">
                                    <w:pPr>
                                        <w:ind w:firstLineChars="150" w:firstLine="315"/>
                                        <w:rPr>
                                            <w:rFonts w:ascii="宋体" w:hAnsi="宋体"/>
                                        </w:rPr>
                                    </w:pPr>
                                </w:p>
                            </w:tc>
                        </w:tr>
                        <w:tr w:rsidR="000D0524" w14:paraId="1A2990FB" w14:textId="77777777">
                            <w:tc>
                                <w:tcPr>
                                    <w:tcW w:w="10662" w:type="dxa"/>
                                    <w:gridSpan w:val="9"/>
                                    <w:shd w:val="clear" w:color="auto" w:fill="EDEDED" w:themeFill="accent3"
                                           w:themeFillTint="33"/>
                                </w:tcPr>
                                <w:p w14:paraId="389A7FE7" w14:textId="77777777" w:rsidR="000D0524"
                                     w:rsidRDefault="00715819">
                                    <w:pPr>
                                        <w:rPr>
                                            <w:rFonts w:ascii="宋体" w:hAnsi="宋体"/>
                                        </w:rPr>
                                    </w:pPr>
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>七</w:t>
                                    </w:r>
                                    <w:r>
                                        <w:t>、</w:t>
                                    </w:r>
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>参与</w:t>
                                    </w:r>
                                    <w:r>
                                        <w:t>的</w:t>
                                    </w:r>
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>同类</w:t>
                                    </w:r>
                                    <w:r>
                                        <w:t>临床研究项目</w:t>
                                    </w:r>
                                    <w:r>
                                        <w:rPr>
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                                        </w:rPr>
                                        <w:t>（近</w:t>
                                    </w:r>
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>5</w:t>
                                    </w:r>
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>年，选不超过</w:t>
                                    </w:r>
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>5</w:t>
                                    </w:r>
                                    <w:r>
                                        <w:rPr>
                                            <w:rFonts w:hint="eastAsia"/>
                                        </w:rPr>
                                        <w:t>项）</w:t>
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                                        <w:t>序号</w:t>
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                                    <w:tcW w:w="3529" w:type="dxa"/>
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                                        <w:t>项目名称</w:t>
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                                <w:tcPr>
                                    <w:tcW w:w="3530" w:type="dxa"/>
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                                        <w:t>项目来源</w:t>
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                                        <w:t>是否</w:t>
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                                            <w:rFonts w:ascii="宋体" w:hAnsi="宋体"/>
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                                        <w:t>已结题</w:t>
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                                    <w:tcW w:w="10662" w:type="dxa"/>
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                                    <w:shd w:val="clear" w:color="auto" w:fill="E7E6E6" w:themeFill="background2"/>
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                                        <w:ind w:leftChars="-52" w:left="-108" w:hanging="1"/>
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                                            <w:b/>
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                                    <w:r w:rsidRPr="00D413EC">
                                        <w:rPr>
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                                            <w:b/>
                                        </w:rPr>
                                        <w:t>填写人声明</w:t>
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                                    <w:r w:rsidRPr="00D413EC">
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                                            <w:b/>
                                        </w:rPr>
                                        <w:t>：</w:t>
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                                <w:p w14:paraId="711C0D4D" w14:textId="5DB7A719" w:rsidR="00C20D5B" w:rsidRPr="00C20D5B"
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                                            <w:numId w:val="1"/>
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                                        <w:ind w:leftChars="-52" w:left="-108" w:firstLineChars="0" w:hanging="1"/>
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                                    <w:r w:rsidRPr="00D413EC">
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                                        <w:t>真实性</w:t>
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                                        <w:t>：</w:t>
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                                        <w:t>本表格</w:t>
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                                    <w:r>
                                        <w:t>内</w:t>
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                                        <w:t>所写</w:t>
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                                    <w:r>
                                        <w:t>内容真实有效</w:t>
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                                        <w:t>，</w:t>
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                                        <w:t>若</w:t>
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                                    <w:r>
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                                        <w:t>非</w:t>
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                                    <w:r>
                                        <w:t>真实，责任由本人自负。</w:t>
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                                        <w:t>研究人员</w:t>
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                                        <w:t>签字</w:t>
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                                    <w:tcW w:w="2835" w:type="dxa"/>
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                                        <w:t>日期</w:t>
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